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DocuSign Envelope ID:52388426-6461-4A8F-8897-8435949E395D
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<br /> DocuSign Envelope 1D:14FC5B48-BC47AD69-A35B-36A5BD8B6779
<br /> OP ID:LH
<br /> AC FZE7 CERTIFICATE OF LIABILITY INSURANCE D1011012018
<br /> Y}
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERiSj, AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(fes)must he endorsed. If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of Ilia policy,certain policies may require an endorsement, A statement on this certificate does not confer rlcPubs to the
<br /> certificate holder In Ileu of such endorsements.
<br /> PRODUCER Phone: 919-882-4814 CONTACT Lee Hammond
<br /> The onsul Insurance uIte1yy Fax: 919-682.4906 FN NE ,919-682-4814 n,919-6824906
<br /> 18 Consultant Place Suite 1D2
<br /> Durham,NC 27707 boa#g lee@sorgiinsijrance.com
<br /> James E.Sorg$,CIC PRoouceR B,BLEELE
<br /> CUSTOMER ID a:
<br /> INSURERS AFFORDING COVERAGE NAIC N
<br /> INSURED B.B.Lee Electric Co. INSURER A!Edo lnsucaneeExshmab 26271
<br /> Bill Bernice Lee,Jr. INSURERS:F14196114pO4IneUranCeCo
<br /> 8014 Bill Poole Rd, INsuReRc:
<br /> Rougemont,NC 27572
<br /> INS RER D t
<br /> INSURER E:
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER; REVISION NUMBER-.
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERN] OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICfES DE.SnRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAW CLAIMS.
<br /> YEXP
<br /> UTR TYPE OF INSURANCE ADD i POLICY N M6ER _ hPOLICY
<br /> rolo ww A46FF ©t�W1YYYY LIMITS
<br /> G ENE RAL LIAR I L IT Y EACH OCCURRENCE S 1,0D0,00
<br /> A TXCOMMERCIAL GENERAL LIABILITY Q28-19204DT 04/1212018 04/1912019 PR'E'AISES Eo.'W"___ S 1,000,00
<br /> CLAIMS-MADE ❑XOCCUR MED FXP(Arty of%pwon) 3 6,00PERSONAL a AOV INJURY S 1,000,00__-_..—�_...__—_—,-._____- GENERAL AGGREGATE S 2,000,00
<br /> GERL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S 2,000,00
<br /> )C POLICY JFCTPRO- LOC S
<br /> AUTOMOR ILE LU1aI L ItY COMBINED SINGLE LIMIT
<br /> (Eoe IdufQ 3 1,000,00
<br /> ANY AUTO BODILY INJURY(Par palaon) S
<br /> ALL OWNED AUTOS BODILY INJURY(Per accwoni) S
<br /> A X SCHEDULEDAUIDS 0062330799 06/23/2018 08/2312019 PROPERTY DAMAGE
<br /> A X KIREDAUra5 Q002330799 OW2312018 OV2312010 (Per oeddonq S
<br /> A X NrON-owNEDAuros Q062330799 06123/2018 06/23/2019 S
<br /> UMBRELLA LIAE OCCUR EACH OCCURRENCE $
<br /> EXCESS UAe --- CLAIMS-MADE AGGREGATE S
<br /> DEDUCYIDLE
<br /> RE E IO S I
<br /> WORKERSCONIPENSATION WCBTATU- OT?I-
<br /> AND EMPLOYEYIN RS'LPAe ILITY 67P 8i S,fJI D as
<br /> B ANY PROPRIETORIPARTNFWEXECUTWE 07/2812010 0712812019 E.L.EACHACC10ENT s 1,000,00
<br /> OFFICERIMEM 9 ER EXCLUDED? D NrA
<br /> iMendoreryInNH) E.LOISEASE-EAEMPLOYE S 1,000,00
<br /> Iiyes,desrdR,a
<br /> D scfil VolnF SbolvX E.L.OISEASS-PBLECYLIMIT S 1,D00,00
<br /> DESCRIPTION OF OPERATIONSI LOCATIONS/VEHICLES(Atlaoh ACORD 101.Addlllenal Remarks Scheduts,If more apace 13 roqurrod)
<br /> i I
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD H THE EXPIRATION DATE VTHEREOF, NOTICE POLICIES
<br /> CBE G BEFORE
<br /> DELIVERED N I
<br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. }
<br /> PO Box 8181 j
<br /> Hlfitahorough, NC 27278 AVTRORIEEi7REPRESENrAYMF
<br /> H wmrrf VAS
<br /> 01988.2009ACORD CORPORATION, All rfghls reserved.
<br /> ACORf3 26(2009fD9) The ACORD name and logo are registered marks of ACORD
<br />
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